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Washington rates for HCPCS J9230

Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.89 / $412.40 / $482.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $315.89 / $370.16
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.37 / $1,641.45 / $1,641.45
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.47 / $1,255.67 / $1,255.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.72 / $321.72 / $1,286.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $394.56
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.19 / $366.56 / $795.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.88 / $379.68 / $691.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $353.89 / $386.06
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.83 / $79,999.20 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.78 / $173.37 / $803.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.70 / $309.70 / $371.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.72 / $321.72 / $321.72